MEDICARE: DR. NASREEN LOQMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	243506	NY
2	207R00000X	Internal Medicine Physician	243506	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629259502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NASREEN LOQMAN MD

Provider Business Mailing Address
First Line	:	224 FRANKLIN PL
Second Line	:	APT 6
City	:	WOODMERE
State	:	NY
Zip	:	11598-1151
Country	:	US
Telephone Number	:	516-371-4278
Fax Number	:	516-371-4278

Provider Business Practice Location Address
First Line	:	2576 31ST ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1749
Country	:	US
Telephone Number	:	718-726-1909
Fax Number	:	718-726-1911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	03/07/2023

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